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Epinephrine

Phase 2

Anaphylaxis Food | Small molecule | Immunology |Nasus Pharma Ltd.|Last Updated: Jul 1, 2025

Target and mechanism

Molecular targetADRA1A, ADRA2A, ADRB1, ADRB2, ADRA2C, ADRA1D
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL679

Also known as Epinephrine autoinjector single dose, Epinephrine 4mg nasal powder spray

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment30

FDA Designations

No designations recorded

Clinical trial landscape

Epinephrine · 1 trial · 1 indication

Phase 2 1
NCT07045701FMXIN002 in Patients at Risk of AnaphylaxisAnaphylaxis Food
ENROLLING BY_INVITATION30 Analytics
PHASE2ENROLLING BY_INVITATION
FMXIN002 in Patients at Risk of Anaphylaxis
Anaphylaxis FoodUnlock trial analytics

Study Endpoints

Primary Endpoints

Skin system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions. Skin system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021

Mucosal system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, mucosal system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021

Gastrointestinal system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, gastrointestinal system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021.

Respiratory system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, respiratory system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021.

Total anaphylaxis severity score
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, Combined systems, anaphylaxis score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021.

Vital signs: Blood pressure
0-90 minutes after drug administration

Systolic and diastolic blood pressure by a blood pressure cuff

Vital signs: pulse rate
0-90 minutes after drug administration

heart rate by pulse rate measurement

Vital signs: oxygen saturation
0-90 minutes after drug administration

% oxygen saturation measurement using oxygen monitor

Secondary Endpoints

Need for a second epinephrine dose
0-90 minutes after drug administration
Adverse events
0-90 minutes after drug administration
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
FMXIN002 4mg + saline IMEXPERIMENTALEpinephrine powder nasal spray together with a placebo IM injection
Adrenaline 0.5mg IM + placebo nasal sprayACTIVE_COMPARATOREpinephrine IM injection together with a placebo nasal spray

Interventions

NameTypeDescription
Epinephrine 4mg nasal powder sprayCOMBINATION_PRODUCTEpinephrine nasal powder spray in a unidose nasal applicator device. Will be administered together with a placebo saline IM injection
Adrenalin 0.5mg Injectable ProductCOMBINATION_PRODUCTEpinephrine 0.5mg for IM injection. Will be administered together with a placebo nasal powder spray.
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Eligibility Criteria

Age Range18 Years to 40 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Age 18-40 years, any gender * Documented or suspected food allergy (based on IgE level or clinical history) * Development of Grade II or III reaction during OFC Exclusion Criteria: * Age \<18 or \>40 * Poorly controlled asthma (FEV1 \< 80% or frequent symptoms) * Active eosi...

Countries:Israel
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Frequently asked questions about Epinephrine

What is Epinephrine used for in anaphylaxis?

Epinephrine is used for the emergency treatment of anaphylaxis caused by food. It is being developed as a nasal powder spray for patients at risk of this severe allergic reaction. The drug is currently in Phase 2 clinical development and is not yet approved for use.

What does Epinephrine target?

Epinephrine is an agonist that targets multiple adrenergic receptors, including ADRA1A, ADRA2A, ADRB1, ADRB2, ADRA2C, and ADRA1D. By activating these receptors, it works to counteract the severe allergic response associated with anaphylaxis.

Who makes Epinephrine?

Epinephrine is being developed by Nasus Pharma Ltd., a biopharmaceutical company. The company is conducting clinical trials to evaluate the drug as a nasal powder spray for the treatment of food-induced anaphylaxis.

What phase is Epinephrine in?

Epinephrine is in Phase 2 clinical development. It is an investigational drug being studied for the treatment of anaphylaxis caused by food. The drug has not yet received regulatory approval and is still undergoing clinical trials to assess its safety and efficacy.

What clinical trials is Epinephrine in?

Epinephrine is being studied in a Phase 2 clinical trial with the identifier NCT07045701, titled "FMXIN002 in Patients at Risk of Anaphylaxis." This randomized, double-blind, active-controlled trial is enrolling 30 participants in Israel and is currently enrolling by invitation.

Is Epinephrine the same as Epinephrine autoinjector single dose?

Epinephrine is also known as Epinephrine autoinjector single dose and Epinephrine 4mg nasal powder spray. These names refer to the same drug, which is being developed by Nasus Pharma Ltd. for the treatment of food-induced anaphylaxis.